-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
January 01, 2022 - the initial order was inadvertent or unintentional (execution errors) or due to lack of knowledge, failure … because of practical or clinical knowledge gaps, and Rule-
Based Errors, which occur as a result of failure
-
digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - of Errors Leading to Serious
ADEs
0 20 40 60 80 100 120
Drug interactions
Inadequate monitoring
Failure
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017035-mehr-final-report-2011.pdf
January 01, 2011 - In-home medication reconciliation is potentially limited by
incomplete information from patients and failure … , including also coronary artery
disease (CAD), hypertension (HTN), hyperlipidemia (HL), and heart failure
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015413-samore-final-report-2008.pdf
January 01, 2008 - Increased Bleeding
Warfarin Metronidazole Increased Bleeding
Warfarin Carbamazepine Reduced Therapeutic failure … Warfarin Rifampin Reduced Therapeutic failure
Warfarin NSAIDs Increased Bleeding, especially GI
Lovastatin
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017203-gurwitz-final-report-2011.pdf
January 01, 2011 - hemorrhage with associated hypotension, hypoglycemic encephalopathy, profound
hyponatremia, and acute renal failure … Monitoring stage errors include inadequate laboratory
monitoring of drug therapies or a delayed response or failure
-
digital.ahrq.gov/sites/default/files/docs/publication/r03hs020308-levy-final-report-2013.pdf
January 01, 2013 - The failure
of TopCare to improve on ASC may stem from the high baseline rate of cancer screening in
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017157-carrow-final-report-2012.pdf
January 01, 2012 - operational issues
were: 1) hard token drivers incompatibility with Windows 7/Vista; 2) hard token failure … In particular,
the hard token that was used experienced a high instance of failure due to compatibility … Overlaying the requirements of the IFR escalated the possibility of EPCS failure as evidenced by
the
-
digital.ahrq.gov/sites/default/files/docs/page/08-1094.pdf
January 02, 2025 - 66334) to amend the exemption to
eliminate the exemption except, as
noted above, in cases of network failure … In the
case of EDI transmissions, we also
understand that the failure rate of EDI
transmission is … We assume that the small
failure rate of EDI transmission,
combined with basic pharmacy
workflow adjustments
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015165-mcconnochie-final-report-2008.pdf
January 01, 2008 - This constitutes compelling evidence of health system failure. … inefficient, impersonal and burdensome for everyone involved,
constitutes stunning evidence of system failure … generally
to a decision by the child’s practice not to perform the telemedicine visit, rather than failure
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015002-ferris-final-report-2008.pdf
January 01, 2008 - Failure to follow-up on abnormal diagnostic test results
represents one of the most problematic safety
-
digital.ahrq.gov/sites/default/files/docs/publication/r36hs018239-taha-final-report-2011.pdf
January 01, 2011 - explained that high
blood pressure can lead to
health problems such as
heart attack, stroke, heart
failure … What does the first graph
show about Pat's risk of
heart failure compared with
the normal risk?
-
digital.ahrq.gov/sites/default/files/docs/citation/healthitandlabordersimplementationhandbook.pdf
November 01, 2011 - Examples of the impact of failure to establish/reinforce clinician vision for use of
decision support … Failure to account for workflow considerations can lead to ineffective data capture at critical
points
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024071-lindquist-final-report-2018.pdf
January 01, 2018 - problem lists and medical history of queried patients to see if patients who had
congestive heart failure … Degree of disability and patterns of caregiving among older
Americans with congestive heart failure.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023844-federman-final-report-2017.pdf
January 01, 2017 - confusing or difficult for patients to understand (e.g. cardiac-induced pulmonary edema due to heart
failure … with reduced ejection fraction versus heart failure).
-
digital.ahrq.gov/sites/default/files/docs/citation/u18hs026883-jih-final-report-2024.pdf
January 01, 2024 - Mobile Patient-Reported Outcomes for Value and Effectiveness (mPROVE) - Final Report
Title: Mobile Patient-Reported Outcomes for Value and Effectiveness (mPROVE)
Principal Investigator: Jane Jih, MD, MPH, MAS
Prior Principal Investigat…
-
digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixF.pdf
October 31, 2013 - Appendix F to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations
Form Approved
OMB No. 0935-0186
Exp. Date 10/31/2013
F-1
Appendix F
Barriers to Meaningful Use of Electronic Health
Records in Medicaid
Focus Group Moderator’s Guide
For “virtual” use with non-users of E…
-
digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-092619.pdf
September 26, 2019 - difficult
► Especially difficult between organizations
• Care transitions: multiple opportunities (& failure
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs018155-mctigue-final-report-2013.pdf
January 01, 2013 - (14.7%) 31 (26.3%) 25 (19.8%)
GERD 29 (22.5%) 30 (25.4%) 23 (18.3%)
Arthritis in knees
Heart failure
-
digital.ahrq.gov/sites/default/files/docs/resource/final-b14-archives-sarkar2075.pdf
January 01, 2013 - the following active medical issues: diabetes requiring medications, active angina,
congestive heart failure
-
digital.ahrq.gov/sites/default/files/docs/citation/AppendixC_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - located 7.7%
(n=1)
User hardware not working or malfunctioning 46.2%
(n=6)
Back-end hardware failure